Thursday, May 1, 2014

Fun with pharmacy

Guess what the pharmacy found wrong with this order:

20 comments:

  1. It baffles me that you're still allowed to give handwritten prescriptions in CYA USA. Our prescriptions have to be send electronically, or at the very least, be printed. Although it's a hassle, I think it's a good requirement considering my awful handwriting :)

    - q6hrs: is that a 9?
    - 100.4: Fahrenheit, Celsius, or Kelvin?
    - PRN: I don't know what it means (I'm Dutch), but if it's 'if necessary', you should be explicit about the maximum amount. (Even though 'every 6 hrs' implies a maximum of 4x/24hrs...)

    I truly enjoy the blog by the way; please give me more orthochick :)

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  2. No units on temperature, no max dose per day.

    I'm British, so not 100% up on your drug names, but my understanding is that Tylenol is a brand name for a range of paracetamol/acetaminophen-based analgesics, so could be something to do with just the brand not being specific enough...

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  3. They want you to write out "every 6 hours"? The facility I transcribe for has us expand that whenever dictated.

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  4. You need to write out "greater than."

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    Replies
    1. i also think it's the > sign - need to write it out as 'over' or 'greater than'.

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  5. Non medical professional here : I'm going with is that temp 100.4 or 100.9?

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  6. Tylenol only comes in 325 mg or 500 mg forms

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    Replies
    1. Think you're right - Tylenol only comes in 325mg and Acetaminophen comes in 325mg, 5000mg, or 650mg

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    2. *500 (not 5000)

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    3. yeah, but if you take 2 of the 325s, you get 650...

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    4. Wouldn't you have to write it as 325mg 2 tablets?

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  7. For once the handwriting is legible?

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  8. I agree with my fellow Anon, saying you need to write out 'greater than.' It doesn't look like a 7, but I've seen plenty of them that do.

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  9. Didn't specify tablet vs liquid...

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  10. ">" is an unacceptable abbreviation and has led to numerous medication errors. "Greater Then" and "Less Than" should always be written out.

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  11. Your handwriting is readable, but this is not the norm in healthcare.
    This is another good reason for EMR and practitioner order entry

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  12. they didn't write for generic acetaminophen?

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  13. A few of you got it right. The problem was the >.

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